RALPH W FLATTUM Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047104241

License Status

CANCELLED

Business

First Name

RALPH W

Last Name

FLATTUM

Business Name

RALPH W FLATTUM

Expiration Date

01/01/1997

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/01/2005